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Provider Network Specialist

Remote · Mexico Full-time

Job Description:

  • Build and maintain PHM’s proprietary database of elite healthcare providers, ensuring depth, accuracy, and clinical relevance
  • Expand PHM’s provider network through thoughtful research, evaluation, and relationship development
  • Support the implementation of technology-enabled processes that streamline provider management, insurance verification, and patient access
  • Conduct thorough reviews of provider credentials and healthcare programs using PHM’s gold-standard evaluation criteria
  • Partner closely with clinical, research, and operations teams to translate provider insights into actionable recommendations that impact client outcomes
  • Proactively researching and identifying high-quality providers across a range of medical specialties
  • Evaluating providers and programs in collaboration with clinical and research partners
  • Using and improving internal tools and workflows to enhance provider data quality and operational efficiency
  • Supporting cross-functional teams by ensuring provider intelligence is accessible, accurate, and actionable
  • Contributing ideas and process improvements as PHM continues to evolve and scale

Requirements:

  • A solutions-oriented mindset with the ability to navigate ambiguity, solve complex problems, and continuously improve how work gets done
  • A strong affinity for technology and process optimization; you’re an early adopter who looks for smarter, more scalable ways to work
  • A self-starter approach with strong research and analytical skills, and the ability to synthesize information across medical specialties
  • Excellent collaboration and communication skills, with the ability to work effectively across clinical, research, and operations teams
  • Exceptional attention to detail and organizational skills, with the ability to manage multiple priorities in a fast-paced, high-growth environment
  • Prior provider-facing healthcare experience and/or a degree in a healthcare-related field strongly preferred
  • Experience conducting or administering academic and/or clinical research strongly preferred

Benefits:

  • health, dental, and vision benefits
  • 401(k) with match
  • paid time off
  • PHM for PHM (our services for you and your dependents)

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